Senior Medical Director – Utilization Management - Remote

Overview

The Senior Medical Director for Utilization Management at Wellmark will lead strategic initiatives to improve healthcare quality and efficiency while managing a team and collaborating with various stakeholders.

In Short

• Remote work eligibility with required travel to Des Moines, IA.
• Lead and guide Utilization Management initiatives.
• Set clear expectations and coach team members.
• Collaborate with Health Services and other departments.
• Focus on reducing overuse and improving quality for members.
• Must have M.D. or D.O. degree and active medical license.
• 3-5 years of Utilization Management experience required.
• Strong analytical and communication skills necessary.
• Proficiency in Microsoft Office applications.
• Participation in ongoing training and projects during licensure process.

Requirements

• M.D. or D.O. degree.
• Active and unrestricted medical license in Iowa/South Dakota.
• 3-5 years of experience in Utilization Management.
• Leadership experience in a clinical setting.
• Strong interpersonal and communication skills.
• Analytical skills and ability to interpret data.
• Experience in healthcare initiatives and projects.
• Proficient in Microsoft Office applications.
• Ability to work collaboratively with cross-functional teams.
• Demonstrated ownership and initiative in improving outcomes.

Benefits

• Competitive salary and benefits package.
• Work-life balance with remote work options.
• Opportunities for professional development.
• Supportive team environment.
• Engagement in meaningful healthcare initiatives.
• Access to Wellmark’s unique benefit offerings.